What We Know About DepressionClinical depression is a serious, often fatal illness that is so common itís hard to recognize. Researchers estimate that almost 20 percent of the population meets the criteria for some form of depression at any given time. And that doesnít mean people who are temporarily feeling the blues and will be better next week, but people who are having real difficulty functioning in life.In terms of overall economic burden to our society, depression is the second most costly disease there is. The cost, estimated at $44 billion a year, includes direct treatment, unnecessary medical care, lost productivity, and shortened life span. Itís second only to cancer in terms of economic impact, approximately the same as the cost of heart disease and AIDS. In addition, the number of deaths from suicide each year is approximately the same as the number of deaths from AIDS.

Table of ContentsCHAPTER 1......................................................................................................................5What We Know About Depression.................................................................................5The Experience of Depression........................................................................................8Recognizing Depression.................................................................................................9CHAPTER 2....................................................................................................................11Diagnosing Depression....................................................................................................11Dysthymic Disorder......................................................................................................12Depressive Disorder Not Otherwise Specified.............................................................13Bipolar Disorder............................................................................................................14Adjustment Disorder.....................................................................................................16Mood Disorder Due to a General Medical Condition...................................................16Seasonal Affective Disorder.........................................................................................17CHAPTER 3....................................................................................................................18Being Good at Depression..............................................................................................18Why Depression is Self-Defeating................................................................................18Case Study:...............................................................................................................20CHAPTER 4....................................................................................................................22Where to Begin................................................................................................................22CHAPTER 5....................................................................................................................25Dealing with Emotions....................................................................................................25Learning to Feel............................................................................................................25The Function of Defenses.............................................................................................26Grief..............................................................................................................................30Anger.............................................................................................................................32Joy and Pride.................................................................................................................33Learning to Express......................................................................................................34CHAPTER 6....................................................................................................................36Behavior...........................................................................................................................36Setting Priorities............................................................................................................36Working Productively...................................................................................................38Self-Destructive Behavior.............................................................................................40Assertive Behavior........................................................................................................41CHAPTER 7....................................................................................................................44Thinking...........................................................................................................................44Distorted Perception and Bad Logic.............................................................................44CHAPTER 8....................................................................................................................47Relationships...................................................................................................................473Metacommunication.....................................................................................................48Ambiguous Communication.........................................................................................49Projection and Projective Identification........................................................................49Relationships under Stress............................................................................................51CHAPTER 9Aids to Recovery.............................................................................................................54Psychotherapy...............................................................................................................54Medical Treatment........................................................................................................56Tricyclics...................................................................................................................57MAOIs......................................................................................................................57Lithium......................................................................................................................57Prozac and its Cousins..............................................................................................58Family Support..............................................................................................................58Bibliography....................................................................................................................60

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